| NPI | 1215451828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06088500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 100499-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 094623) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2023-02-13 |