| NPI | 1205365160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05749600) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05240900) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2018-03-17 |