| NPI | 1801261268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 2139) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 3196) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2023-11-28 |