| NPI | 1255860839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 12902) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05362000) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2020-02-10 |