| NPI | 1760712640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05644500) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW5475) |
| 174400000X Specialist (Licence: FL MA 52361) | |
| 225700000X Massage Therapist (Licence: NJ 18KT00779400) | |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2023-09-07 |