NPI | 1225412281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00198300) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 010697) |
106H00000X Marriage & Family Therapist (Licence: FL TPMF379) | |
Enumeration Date | 2015-07-18 |
Last Update Date | 2023-09-27 |