| NPI | 1275150104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC06104600) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: UT 13335091-3501) |
| 1041C0700X Social Worker Clinical (Licence: DE Q1-0012253) | |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2024-07-26 |