| NPI | 1396330262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06596400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 110277-01) |
| 1041S0200X Social Worker, School (Licence: NJ 44SL06596400) | |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |