| NPI | 1245209493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC00392500) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00120200) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2009-11-09 |