| NPI | 1467977058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06249100) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06205300) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2024-04-12 |