| NPI | 1023761962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06326700) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06588900) |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22942) | |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2025-04-18 |