| NPI | 1124419171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010847) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05292500) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2023-11-28 |