| NPI | 1497408017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06418400) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |