| NPI | 1043594831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00470700) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 3TP11-017) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2013-02-25 |