| NPI | 1821347436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05505800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW20967) |
| 1041C0700X Social Worker, Clinical (Licence: MA 122082) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2024-05-09 |