| NPI | 1073824868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW15254) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 44SC05409900) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2019-12-11 |