| NPI | 1902471857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 003644) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 16551325) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2025-08-13 |