| NPI | 1720457765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00653100) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37AC00274000) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2018-12-12 |