| NPI | 1477848216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05343300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SCO5343300) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2024-04-03 |