| NPI | 1467107805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LICSW126712) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ SL06655400) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2023-07-10 |