NPI | 1568610657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00187500) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 50058) |
106H00000X Marriage & Family Therapist (Licence: CA MFI54450) | |
Enumeration Date | 2008-09-03 |
Last Update Date | 2020-04-03 |