| NPI | 1720349228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY P116739) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2022-09-09 |