| NPI | 1164936381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17602) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06010500) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2024-01-29 |