| NPI | 1265117568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 002232) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FA00032500) |
| 106H00000X Marriage & Family Therapist (Licence: CT 3060) | |
| 106H00000X Marriage & Family Therapist (Licence: NY 002232) | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2024-04-04 |