| NPI | 1811107790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000099-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 212936-1) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-10-29 |