| NPI | 1407302268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091735) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06383200) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2025-02-01 |