| NPI | 1376134635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06005500) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089959) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2023-02-26 |