| NPI | 1124692355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06276300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ SW-GTL-20-01848) |
| 104100000X Social Worker (Licence: NJ SW-GTL-20-01848) | |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2024-03-19 |