| NPI | 1386281103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 44SC05250200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SC05250100) |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2019-12-01 |