| NPI | 1548787849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001181) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 002926) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2023-07-11 |