NPI | 1942773940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00889700) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: NJ 1106552) |
106H00000X Marriage & Family Therapist (Licence: NJ 37PC00889700) | |
106H00000X Marriage & Family Therapist (Licence: NJ 37AC00479600) | |
Enumeration Date | 2019-01-02 |
Last Update Date | 2023-08-30 |