| NPI | 1215600812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06368600) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 44SC06368600) |
| 101Y00000X Counselor | |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2026-06-12 |