| NPI | 1043075468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05154900) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 22SC05154900) |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-10-16 |