| NPI | 1326761776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 082081) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC06199100) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2023-10-06 |