| NPI | 1356885438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06073000) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 079350) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2023-05-16 |