| NPI | 1669041547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06346900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SL06423300) |
| 104100000X Social Worker (Licence: NJ 44SL06423300) | |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2024-08-08 |