| NPI | 1134764236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06398500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06241000) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2025-02-09 |