| NPI | 1427655117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37PC00890200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 010737) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2024-10-27 |