NPI | 1073958666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3209) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00174200) |
Enumeration Date | 2013-05-08 |
Last Update Date | 2018-03-12 |