| NPI | 1386281004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001489) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3278) |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2020-01-03 |