| NPI | 1649721663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089116) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 098685) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06125100) | |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2022-10-31 |