| NPI | 1639686447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05813200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 086352) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2021-10-06 |