| NPI | 1003237876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ SC0631820044) |
| Enumeration Date | 2013-12-21 |
| Last Update Date | 2024-11-06 |