| NPI | 1720299886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102261) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 003527-1) |
| 106H00000X Marriage & Family Therapist (Licence: NY 000256-1) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-02-08 |