| NPI | 1205046190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000566) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000279) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-03-24 |