| NPI | 1821802919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 002507) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT002126) |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2026-08-31 |