| NPI | 1346642279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW0064778) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 05482500) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2019-08-26 |