| NPI | 1134999550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06531700) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FA00029200) |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2025-08-15 |