| NPI | 1912450271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06174500) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-08 |