| NPI | 1790917151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY P124035) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40qa00603200) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2023-09-04 |