| NPI | 1528722691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 002184) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY P112624) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2024-07-15 |