| NPI | 1235515966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05663800) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 090873-1) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2026-01-28 |