NPI | 1649767609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SL06374000) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2022-10-04 |