| NPI | 1437674116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05930500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 096892) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2020-09-26 |