| NPI | 1528463932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001143) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |