| NPI | 1194137570 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00198400) | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 106H00000X Marriage & Family Therapist (Licence: OR T2273) | |
| Enumeration Date | 2014-05-20 | 
| Last Update Date | 2023-07-24 |