| NPI | 1538596762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001132) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY P83491) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2014-08-04 |