| NPI | 1619083649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 10864) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01010800) |
| 1041C0700X Social Worker, Clinical (Licence: NY R025511-1) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-30 |