| NPI | 1962775585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00145400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37FI00145400) |
| 103TF0000X Psychologist, Family (Licence: NJ 37FI00145400) | |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2013-02-19 |