| NPI | 1750655734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri02311600) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2016-09-04 |