| NPI | 1124879333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: P118318) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 002278) |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-05-03 |