| NPI | 1871800540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 3TP08-006) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98104) |
| 106H00000X Marriage & Family Therapist (Licence: NJ NJDCATEMP-032850) | |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2021-01-12 |