| NPI | 1982751442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF000321) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00133900) |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00065300) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2009-12-08 |