| NPI | 1679341713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL07063900) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NJ 01715948) |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37FA00040500) | |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |