| NPI | 1801247655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078975-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05661100) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |