| NPI | 1346991742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37F100200000) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 00001704) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-01-17 |