| NPI | 1730498155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00166200) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2511) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |