| NPI | 1477153195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06246600) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06118300) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2024-01-23 |