| NPI | 1679317630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 13641) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06331800) |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-10-30 |