NPI | 1417253584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001186) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 0763) |
Enumeration Date | 2011-02-07 |
Last Update Date | 2018-03-17 |