| NPI | 1710652680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC06414600) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL6669600) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2025-02-06 |