| NPI | 1457862666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05755500) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44C055500) |
| Enumeration Date | 2017-10-14 |
| Last Update Date | 2025-03-20 |