| NPI | 1467177998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL06734400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06443300) |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2025-06-27 |