| NPI | 1801358437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 13266) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05848600) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-05-04 |