NPI | 1033266861 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC00671900) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37F100128900) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2016-03-03 |