| NPI | 1417391707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000659-1) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NY 443401) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |