| NPI | 1871073734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001704) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY P10350) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2021-12-02 |