| NPI | 1982179909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 2716) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 2160) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2021-12-22 |