| NPI | 1982064317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05984500) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05984500) |
| 104100000X Social Worker (Licence: NJ 44SL06144800) | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2022-02-09 |