NPI | 1518718592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FA00038800) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37FA00038800) |
Enumeration Date | 2024-03-28 |
Last Update Date | 2024-06-27 |