| NPI | 1598495293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 002210) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT5388) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2025-12-29 |