| NPI | 1184712473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13616) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ PC00108800) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05184800) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 071273-01) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2025-05-06 |