NPI | 1609146083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05724200) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-01-03 |
Last Update Date | 2024-06-04 |