| NPI | 1902200728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05937400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SL05965000) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2020-08-19 |