NPI | 1629745492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FA00022900) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37FA00022900) |
Enumeration Date | 2021-08-27 |
Last Update Date | 2024-06-26 |