| NPI | 1699875732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 7503) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 7503) |
| 103T00000X Psychologist (Licence: NY 7503) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2025-09-11 |