| NPI | 1467843185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW14262) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05611800) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2019-07-25 |