| NPI | 1366926412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05934700) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NJ 44SC05934700) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05934700) | |
| 104100000X Social Worker (Licence: NJ 44SL06388600) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06388600) | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2023-04-25 |