| NPI | 1043426554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY MFT000580) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC30173) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2010-12-08 |