| NPI | 1619569357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 1619569357) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY P108016) |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-08-10 |