NPI | 1659918696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DE FT-0000064) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00192100) |
Enumeration Date | 2019-12-10 |
Last Update Date | 2020-05-26 |