| NPI | 1487869004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 949) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 106H00000X Marriage & Family Therapist (Licence: NJ 1057) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |