| NPI | 1710473061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06042900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW007195) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2026-05-28 |