| NPI | 1124440995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05847500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44sl05931300) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2022-02-10 |