| NPI | 1477120467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 002023) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.001475) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2024-09-04 |