NPI | 1376763300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00147100) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00020200) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2025-09-11 |