| NPI | 1831300086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00153600) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00192700) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2007-07-08 |