| NPI | 1821624008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05965800) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SL05313900) |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2022-09-25 |