| NPI | 1700445012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00190300) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001134) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2023-10-27 |