| NPI | 1831367317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000249-1) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 41856) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2014-10-17 |