| NPI | 1184040578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001046) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 1622) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-05-06 |