| NPI | 1619036274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00299700) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00164400) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2013-04-04 |