| NPI | 1891218566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37PC00768000) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37AC00369500) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2022-04-14 |