Individual
INA QEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,MFT
Contact information
Practice address
73 GROVE ST APT 25S, MONTCLAIR, NJ 07042-3722
(646) 241-4809
Mailing address
3109 37TH ST, ASTORIA, NY 11103-3932
(718) 721-4300
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
06-P119503-01
NY
Other
Enumeration date
11/02/2022
Last updated
10/18/2023
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