| NPI | 1790848737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 445C00451800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY PRO13939-1) |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00075100) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2011-03-21 |