| NPI | 1528372976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00114800) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37PC00114800) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2024-12-10 |