| NPI | 1053558114 |
|---|---|
| Former Name | TAMMY SARAH AISENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1253) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8101) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT2138) | |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-02-25 |