| NPI | 1245447549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000307-1) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 28336) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |