| NPI | 1063040996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06005200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C012921) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2021-08-16 |