| NPI | 1578270765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05964400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.016124) |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2022-10-28 |