| NPI | 1104500446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ M-4077) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM M-4077) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2026-06-19 |