| NPI | 1699331231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00154200) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37FI00154200) |
| Enumeration Date | 2019-05-18 |
| Last Update Date | 2019-05-18 |