| NPI | 1265751416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000932) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY P72341) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2022-09-13 |