| NPI | 1598073942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000440-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY RO33077-1) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2011-08-03 |