| NPI | 1720463482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06023600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW15272) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2022-01-05 |