| NPI | 1942526116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000402) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 000424) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT3565) | |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2024-04-23 |