| NPI | 1063624088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014650) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05197000) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2022-08-26 |