| NPI | 1619330008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06036800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05967100) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2022-11-04 |