| NPI | 1720560881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094856) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 104259) |
| 104100000X Social Worker (Licence: NJ 44SL06563000) | |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2025-01-04 |