NPI | 1760084537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FA00016800) |
Additional Taxonomies | 225A00000X Music Therapist (Licence: PA 12130) |
Enumeration Date | 2020-11-16 |
Last Update Date | 2024-09-03 |