| NPI | 1821469651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09926088) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05862200) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2019-08-23 |