NPI | 1518492925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00755100) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37AC00336600) |
Enumeration Date | 2017-04-23 |
Last Update Date | 2023-08-08 |