| NPI | 1700311941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001613) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY P05258) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2021-04-16 |