| NPI | 1730375544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05336400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05335600) |
| Enumeration Date | 2007-09-15 |
| Last Update Date | 2018-03-17 |