| NPI | 1043356207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000374) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 2469) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2021-04-26 |