| NPI | 1366746323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00405100) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00181600) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2018-10-01 |