| NPI | 1669623344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000775-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 133306195) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2020-07-02 |