| NPI | 1124585153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06329600) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2024-11-22 |