| NPI | 1447635727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 25732) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05594700) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2020-08-14 |