| NPI | 1134634025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05876900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S1600510) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2021-09-28 |