| NPI | 1629428461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010614) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SC05460900) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2023-08-03 |