| NPI | 1447803655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928866) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06451400) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2026-03-11 |