| NPI | 1659726925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05827300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 105635) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2023-06-16 |