| NPI | 1225857154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05709400) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 096780-01) |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |