| NPI | 1013444694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL TPSW2746) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05925300) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2023-11-16 |