| NPI | 1831573328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05857500) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 102L00000X Psychoanalyst | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904008016) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2020-03-25 |