| NPI | 1164735015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05475900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 10885) |
| 1041C0700X Social Worker, Clinical (Licence: LA 9486) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 078943-01) | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2024-02-29 |