NPI | 1144972282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06528500) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2022-01-20 |
Last Update Date | 2025-09-03 |