| NPI | 1215213673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW10527) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05259900) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2019-10-01 |