| NPI | 1770619066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100513600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00840400) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2021-03-04 |