| NPI | 1386424570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 002336) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 06-P114065-01) |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2024-12-09 |