| NPI | 1649597246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00178500) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 69885) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2015-08-21 |