| NPI | 1306908207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW14290) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05419600) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW14290) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2022-02-28 |