| NPI | 1578781167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC00274500) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37F100100200) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2025-09-11 |