| NPI | 1760084537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FA00016800) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: PA 12130) |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |