| NPI | 1639444227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9959) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05484300) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2018-12-18 |