| NPI | 1568962710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00599200) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37PC00599200) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00599200) | |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |