| NPI | 1225333149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05261200) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 445C05261200) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2016-03-23 |