NPI | 1295055713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05876800) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 44SC05876800) |
Enumeration Date | 2010-06-07 |
Last Update Date | 2025-03-21 |