NPI | 1346913696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00203800) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF001172) |
Enumeration Date | 2021-07-30 |
Last Update Date | 2025-03-05 |