| NPI | 1073958666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3209) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00174200) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2018-03-12 |