| NPI | 1821443060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091087) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06118900) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2019-03-15 |