NPI | 1619050499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL LMHC-MH12148) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00091200) |
101YM0800X Counselor, Mental Health (Licence: NJ 37PC00049500) | |
101YP1600X Counselor, Pastoral | |
101YP2500X Counselor, Professional (Licence: NJ 37PC00049500) | |
101YS0200X Counselor, School (Licence: NJ 541878) | |
106H00000X Marriage & Family Therapist (Licence: NJ 37PC00049500) | |
101YM0800X Counselor, Mental Health | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP-5808) | |
101YP2500X Counselor, Professional | |
Enumeration Date | 2006-10-23 |
Last Update Date | 2015-03-20 |