| NPI | 1710863071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY P137662) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FA00057300) |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |