| NPI | 1659637114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37F100160900) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF000025) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |