| NPI | 1588876304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL PMT132) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000067-1) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-04-15 |