| NPI | 1578090213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05983500) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 093309-01) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2023-06-25 |