| NPI | 1073029138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05554900) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44sc05554900) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW007095) | |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2020-10-20 |