| NPI | 1033251053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000519) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 003070) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT33964) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2025-09-11 |