NPI | 1770799264 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000430) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 002472) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2011-03-17 |