| NPI | 1326557117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SL06280900) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker (Licence: NJ 44SL06280900) | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2021-08-09 |