| NPI | 1831520576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05805100) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05930900) |
| 1041C0700X Social Worker, Clinical (Licence: NY 086687) | |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2019-01-23 |