| NPI | 1851006290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 3327) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 3039) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2024-02-05 |