| NPI | 1942333802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001608-01) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT52390) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2019-10-17 |