| NPI | 1487887360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05495100) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081180-1) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2022-07-21 |