| NPI | 1376225961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 119961-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL07091800) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2024-03-02 |