| NPI | 1760151799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06355000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 096191) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2024-07-24 |