| NPI | 1477528446 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00248300) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37F100145000) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2007-07-08 |