| NPI | 1972016939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 002699) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV MI2851) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2026-07-27 |