| NPI | 1003412636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ NJ44SC00536000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00536000) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-09 |