| NPI | 1134630650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00206400) |
| 106H00000X Marriage & Family Therapist (Licence: FL TPMF677) | |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2022-08-08 |