| NPI | 1811623341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL06998000) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 102L00000X Psychoanalyst | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2024-01-31 |