| NPI | 1477394583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096545-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06332500) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |