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 |