| NPI | 1164675237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05412700) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05291000) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2022-01-12 |