| NPI | 1740829043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06168200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44sl06499500) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2023-02-01 |