| NPI | 1497287403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05873100) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SL06034700) |
| 104100000X Social Worker (Licence: NJ 44SL060347000) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2020-05-07 |