| NPI | 1881848166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000452) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 033509-1) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2012-07-24 |