| NPI | 1730416454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID 6927) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000767) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2021-08-13 |