| NPI | 1942329537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NH 131) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VT 100.0059782) |
| 106H00000X Marriage & Family Therapist (Licence: CA 47091) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2011-03-15 |