| NPI | 1447633755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001373-01) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2021-01-16 |