| NPI | 1093351769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL105340500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44sl05340500) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2025-07-24 |