| NPI | 1518530682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00221100) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202676) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2023-10-18 |