| NPI | 1629103551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 44SC05226600) |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05226600) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC055226600) | |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X Community/Behavioral Health (Licence: NJ 44SC05226600) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2025-08-28 |