| NPI | 1306974183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 0016381) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 259) |
| 106H00000X Marriage & Family Therapist (Licence: MA 160) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2023-10-10 |