| NPI | 1912358391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00191100) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF92013) |
| 106H00000X Marriage & Family Therapist (Licence: FL TPMF969) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2024-04-17 |