NPI | 1467185462 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37AC00649000) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 1497530) |
101YS0200X Counselor, School (Licence: NJ 1157435) | |
Enumeration Date | 2022-07-06 |
Last Update Date | 2022-07-06 |