| NPI | 1831084656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 126113-01) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SL07120400) |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |