NPI | 1457020455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001849-01) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2021-09-13 |
Last Update Date | 2022-04-04 |