| NPI | 1063986032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM731) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001546) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2022-04-20 |