| NPI | 1295076636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05560000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079368) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2020-05-05 |