| NPI | 1013177336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL05326200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05383000) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2022-10-17 |