| NPI | 1417024803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37PC00538600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL LPC - 2440) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2016-07-28 |