| NPI | 1134402159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99843) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00192200) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2025-11-26 |