NPI | 1932873619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00772200) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00772200) |
106H00000X Marriage & Family Therapist (Licence: NJ 37PC00772200) | |
Enumeration Date | 2021-08-05 |
Last Update Date | 2021-08-05 |