| NPI | 1104414895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00255300) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 002774) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2026-07-09 |