| NPI | 1194954982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 4SL06598100) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 6584729) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2023-10-20 |