| NPI | 1730679937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05804900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 14247) |
| 104100000X Social Worker (Licence: NJ 44SL05864400) | |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2021-06-17 |