| NPI | 1457831901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001645) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY P12131) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2020-02-06 |