| NPI | 1104240779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001297) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP5392) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2016-03-31 |