| NPI | 1538585948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05765300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05722500) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2021-12-20 |