| NPI | 1326486424 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078763) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05912600) | 
| Enumeration Date | 2013-06-11 | 
| Last Update Date | 2023-10-11 |