NPI | 1073721148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000410) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 42420) |
Enumeration Date | 2007-05-20 |
Last Update Date | 2007-07-08 |