| NPI | 1174007801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05932900) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06390400) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2024-02-12 |