| NPI | 1811010929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001121) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 28700055) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2023-10-16 |