| NPI | 1538622022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 10134-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05836800) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2024-03-14 |