| NPI | 1295815504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00164100) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00301600) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-01-10 |