| NPI | 1508969510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ SC000879) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37F100131700) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-09 |