| NPI | 1407080690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW23119) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YP2500X Counselor, Professional (Licence: NJ 44SL05320500) | |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2025-06-30 |