| NPI | 1437619376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: 44SC05827100) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical (Licence: NJ 44SC05827100) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |