| NPI | 1396776019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000218) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 218) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-07-05 |