| NPI | 1487861852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00213500) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37F100153100) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |