| NPI | 1386224491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18551) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 445C05966700) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2022-05-23 |