NPI | 1588169569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 002154) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist (Licence: CA 120635) | |
106H00000X Marriage & Family Therapist (Licence: NY 115638-01) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2018-03-29 |
Last Update Date | 2023-11-17 |