| NPI | 1679877179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05416800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 011256) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2023-01-18 |