| 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 |