| NPI | 1275916967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37F100177200) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF000796) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |