| NPI | 1659139806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL06457500) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SL06457500) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06457500) | |
| 1041S0200X Social Worker, School (Licence: NJ 44SL06457500) | |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |