| NPI | 1619126042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00158100) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00100800) |
| 101Y00000X Counselor (Licence: NJ 37FI00158100) | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |