| NPI | 1710468756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NE 11812) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY P12533) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2019-04-04 |