| NPI | 1811316425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37LC00160300) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2021-10-29 |