| NPI | 1285949123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001229) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 46223) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2017-01-30 |