| NPI | 1184230039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC06227200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06365900) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2023-07-13 |