| NPI | 1457649980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000886) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004963) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717001952) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2023-05-19 |