NPI | 1982383634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 002128-01) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00238800) |
Enumeration Date | 2023-07-11 |
Last Update Date | 2025-01-28 |