| NPI | 1447364575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00081400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R034046-1) |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00115400) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |