| NPI | 1093319683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06519400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06285700) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2025-03-01 |