| NPI | 1114555943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05913900) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 81768) |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2020-03-28 |