| NPI | 1730440819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 26569) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical (Licence: NJ Q1-0001684) | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2024-07-12 |