| NPI | 1366420135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05421800) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SC05421800) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2024-04-24 |