| NPI | 1568896132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA Trainee) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 001831) |
| 101YM0800X Counselor, Mental Health (Licence: 14-246) | |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2017-04-17 |