| NPI | 1558799759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05823000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05872000) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2019-01-03 |