| NPI | 1689255960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06269400) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ SW-GTL-21-02261) |
| Enumeration Date | 2021-04-18 |
| Last Update Date | 2023-10-11 |