| NPI | 1619163672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 002670) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000471) |
| Enumeration Date | 2007-09-23 |
| Last Update Date | 2020-05-01 |