| NPI | 1003210626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06063400) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 6792) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2022-02-08 |