| NPI | 1265701700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 002632) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 94435) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2026-01-20 |