| NPI | 1598104614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00481500) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 44SC00481500) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 44SC00481500) | |
| 171M00000X Case Manager/Care Coordinator (Licence: NJ 44SC00481500) | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-21 |