| NPI | 1366054603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SCO5166400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05166400) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |