| NPI | 1538353842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00161800) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00323900) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-10-03 |