| NPI | 1407537418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL06975600) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: NJ MA056615) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2024-07-22 |