NPI | 1174054332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05893800) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SL06236500) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2020-11-23 |