NPI | 1336819382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001812) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2021-09-20 |
Last Update Date | 2021-09-20 |