| NPI | 1740521202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NH 170) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 000939) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2020-01-31 |