| NPI | 1518245810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 003951) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 003951) |
| 106H00000X Marriage & Family Therapist (Licence: NY 003951) | |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |