| NPI | 1598102220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00708200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 37ac00165100) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2024-11-12 |