| NPI | 1851508576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000261) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 261) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2023-07-06 |