| NPI | 1407261779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001610) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 1610) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2024-01-19 |