| NPI | 1497770358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37F100138600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW008764L) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00204500) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-05-08 |