NPI | 1194137570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00198400) |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist (Licence: OR T2273) | |
Enumeration Date | 2014-05-20 |
Last Update Date | 2023-07-24 |