| NPI | 1679213425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 44SL06340800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 26NR19399600) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2024-04-11 |