| NPI | 1275019390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 093839) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 23919) |
| 1041C0700X Social Worker Clinical (Licence: NJ 44SC06281300) | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2023-11-25 |