| NPI | 1871273128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 3215) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 2866) |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-09-24 |