| NPI | 1336564491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18278) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05295500) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2022-05-27 |