| NPI | 1518151232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 432016096) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2009-12-29 |