| NPI | 1841406634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00115200) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35S100206600) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |