| NPI | 1063177913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04716700) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NJ 44SC04716700) |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2021-11-15 |