| NPI | 1225366818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00179900) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37RC00229500) |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37PC00179900) | |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |