| NPI | 1982243473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06072500) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 44SL06261900) |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2023-06-06 |