| NPI | 1861078321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 44SC05676700) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 1861078321) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2024-04-12 |