| NPI | 1679807937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00160700) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF000160) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2014-10-14 |