| NPI | 1427621895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05432700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 091989-01) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2022-06-15 |