| NPI | 1831576404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 002122-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW12427) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT-4153) | |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2024-02-07 |