| NPI | 1821537937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05812900) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06169500) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2018-11-30 |