| NPI | 1821374737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM434) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 23828) |
| 106H00000X Marriage & Family Therapist (Licence: NY 06 000749) | |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |