| NPI | 1609071166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC04560700) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 115260) |
| 1041C0700X Social Worker Clinical (Licence: NY 084389) | |
| 1041C0700X Social Worker Clinical (Licence: CT 5565) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2023-06-05 |