| NPI | 1023895190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 121082) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL07013400) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-09-12 |