| NPI | 1205228970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05768300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06040100) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2023-08-14 |