| NPI | 1407471469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001883) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM CTB-2025-0055) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2025-02-04 |