| NPI | 1760068621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL05386400) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 44SL05386400) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 44SL05386400) | |
| 1041S0200X Social Worker, School (Licence: NJ 868033) | |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-03-22 |