| NPI | 1255073607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04736600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW013890) |
| 1041S0200X Social Worker, School (Licence: NJ 1231755) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW19389) | |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-04-07 |