| NPI | 1346352192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 58587) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ SC04886500) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-03-20 |