| NPI | 1962614073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00158700) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: NJ 35S100442800) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2025-09-11 |