| NPI | 1609374750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05772800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06071500) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-02-27 |