NPI | 1548049133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00213200) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF001410) |
Enumeration Date | 2023-09-25 |
Last Update Date | 2023-09-25 |