| NPI | 1922217504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001203) |
| Additional Taxonomies | 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: CT R37245) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |