| NPI | 1245386176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC06339100) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 44SC06339100) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2024-07-10 |