| NPI | 1255881660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094613-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06555500) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2024-01-04 |