| NPI | 1487398459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001611) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 1130735-3902) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-25 |