| NPI | 1790204949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083384-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05711000) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |