| NPI | 1679287585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06268800) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-10-20 |