NPI | 1124146899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00182400) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 54970) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2022-07-21 |