| NPI | 1972085256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001659) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL TPMF1337) |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00208200) | |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2026-06-18 |