| NPI | 1750153706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 7051) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06639700) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2025-06-27 |