| NPI | 1669065066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085301-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05688000) |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-02-16 |