| NPI | 1043874233 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012571)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06232000)  | 
| Enumeration Date | 2019-04-24 | 
| Last Update Date | 2025-03-10 |