| NPI | 1841836871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001724) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY P103756) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2022-03-09 |