| NPI | 1538796396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06041500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 107028-01) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2022-04-28 |