| NPI | 1639352156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05448300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 08003) |
| 104100000X Social Worker (Licence: NJ 44SL05505200) | |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2021-09-21 |