| NPI | 1750150736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY P109045) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001254) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2024-04-12 |