| NPI | 1548705700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY P104688) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P102069) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2020-05-22 |