NPI | 1255946216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00707200) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00707200) |
106H00000X Marriage & Family Therapist (Licence: NJ 37PC00707200) | |
133N00000X Nutritionist | |
221700000X Art Therapist | |
Enumeration Date | 2020-09-15 |
Last Update Date | 2022-07-27 |