| NPI | 1073682647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05435700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 071606R) |
| 1041C0700X Social Worker, Clinical (Licence: NY 071606) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2024-11-05 |