| NPI | 1811548852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05755400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081560) |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |