| NPI | 1770474405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06515900) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 17065) |
| 104100000X Social Worker (Licence: NY 086834) | |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-07-15 |