NPI | 1285470963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37PC01018400) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 013847) |
Enumeration Date | 2024-07-02 |
Last Update Date | 2024-07-11 |