| NPI | 1780232751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05969200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW19826) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC23623) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 093047) | |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2024-06-20 |