| NPI | 1649027848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 122887-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL07067300) |
| Enumeration Date | 2024-05-04 |
| Last Update Date | 2024-05-04 |