| NPI | 1073024022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001443) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101782) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |