| NPI | 1164276275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C019266) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 445L06950600) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2025-11-18 |