| NPI | 1982383634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 002128-01) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00238800) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2025-01-28 |