| NPI | 1215221270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924765) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SL05694000) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2018-10-12 |