| NPI | 1356018410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8869) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 0000012692) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06368900) | |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2024-10-21 |