| NPI | 1477142453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06388800) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ SW-GTL-20-01312) |
| 101Y00000X Counselor (Licence: NJ SW-GTL-20-01312) | |
| 101YM0800X Counselor, Mental Health (Licence: NJ 44SL06651900) | |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2024-10-16 |