| NPI | 1841877560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 002081) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101007427) |
| 106H00000X Marriage & Family Therapist (Licence: CT 3267) | |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00221800) | |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2024-01-23 |