| NPI | 1912204249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R027165-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00433400) |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37F100100300) | |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-02-23 |