| NPI | 1558894972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087639-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05707200) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05841800) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2019-03-28 |