| NPI | 1366695249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006388) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04819900) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2021-09-09 |