| NPI | 1669614202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101198) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05278100) | |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2022-01-01 |