| NPI | 1306399928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001314-1) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001885A) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |