NPI | 1124236872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL LMT 1393) |
Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY LP 000508-1) |
106H00000X Marriage & Family Therapist (Licence: NY LMT 000402-1) | |
Enumeration Date | 2007-05-18 |
Last Update Date | 2025-09-11 |