| NPI | 1992491195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37AC00716500) |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37AC00716500) | |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |