| NPI | 1346747003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SC06355300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06355300) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2024-09-13 |