| NPI | 1568284636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06179800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 098253) |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2026-02-09 |