| NPI | 1861947368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001508) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT4242) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2025-02-20 |