| NPI | 1114635208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05883900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW006783) |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |