NPI | 1417108226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000984-01) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 001833) |
Enumeration Date | 2008-10-10 |
Last Update Date | 2016-11-15 |