| NPI | 1366994626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY NYS000867) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC42447) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |