| NPI | 1174990782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090817-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 1012191) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06063000) | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2022-11-15 |