| NPI | 1083756597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ SC01536) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 073151) |
| 106H00000X Marriage & Family Therapist (Licence: NJ FI01238) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2013-03-07 |