| NPI | 1558622688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL05906600) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 44SL05906600) |
| 101Y00000X Counselor (Licence: NJ 44SL05906600) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 44SL05906600) | |
| 103TF0000X Psychologist, Family (Licence: NJ 44SL05906600) | |
| 104100000X Social Worker (Licence: NJ 44SW05306000) | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2021-04-21 |