| NPI | 1023616109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY P113726) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M.2000190-TRNE) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2022-12-27 |