| NPI | 1699452847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 002342) |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2025-01-14 |