| NPI | 1124599345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06117000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 24413) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2022-11-19 |