| NPI | 1073174975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY MFT-0000125-0) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT-1807) |
| 106H00000X Marriage & Family Therapist (Licence: NC 1987) | |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2019-06-22 |