| NPI | 1740794171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001353-1) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00180900) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2018-11-04 |