| NPI | 1588309512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SCO6313000) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06679700) |
| 104100000X Social Worker (Licence: NY 115822) | |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2024-03-11 |