| NPI | 1366022469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06040800) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06320100) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2022-05-12 |