| NPI | 1811254238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080095) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05794800) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2023-06-29 |