| NPI | 1285088237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05838600) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 090445) |
| 1041C0700X Social Worker, Clinical (Licence: NY 0142077) | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2021-10-14 |