| NPI | 1265512479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04793500) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 47935) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW14627) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2022-05-19 |