| NPI | 1295043271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44sc00168300) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NJ 44sc00168300) |
| 106H00000X Marriage & Family Therapist (Licence: NJ 44sc00168300) | |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2024-05-21 |