| NPI | 1235616889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093931) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06155400) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2024-03-08 |