| NPI | 1982837993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY P66808) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006398) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |