| NPI | 1770623076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00011800) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00154900) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-11-16 |