NPI | 1528503281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00441800) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44sc00441800) |
Enumeration Date | 2017-01-04 |
Last Update Date | 2017-01-04 |