| NPI | 1245515881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 002538) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 626791) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2025-12-25 |