| NPI | 1144940982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 44sl05430900) |
| 101Y00000X Counselor (Licence: PA CW022416) | |
| 101YM0800X Counselor, Mental Health (Licence: NJ 44sl05430900) | |
| 101YM0800X Counselor, Mental Health (Licence: PA cw022416) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44sl05430900) | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |