| NPI | 1568124014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 002108) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY P109121) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2024-02-22 |