| NPI | 1760697486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05211800) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SC05211800) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05211800) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-09-20 |