| NPI | 1588214969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001681) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 003867-02) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2020-07-21 |