| NPI | 1104377274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05848000) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05951700) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2025-06-10 |