| NPI | 1114481132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc06260700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ SW-GTL-20-01700) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2025-12-02 |