NPI | 1992491195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37AC00716500) |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist (Licence: NJ 37AC00716500) | |
Enumeration Date | 2023-04-12 |
Last Update Date | 2023-04-12 |