| NPI | 1417229444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44C05573900) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC00679000) |
| 101YP2500X Counselor Professional (Licence: NJ 37PC00553000) | |
| 1041C0700X Social Worker Clinical (Licence: NJ 44SC05849100) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ BS1129279) | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2020-06-17 |