| NPI | 1700295433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22423) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05519900) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2022-08-02 |