| NPI | 1164076048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001588) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 003188) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2023-11-30 |