| NPI | 1982113940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05744400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 133V00000X Dietitian, Registered (Licence: NJ 897028) | |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2022-07-21 |