| NPI | 1588230478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00678000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC00678000) |
| 1041C0700X Social Worker, Clinical (Licence: 44SC00678000) | |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |