NPI | 1538663695 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06090900) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-03-22 |
Last Update Date | 2024-11-13 |