| NPI | 1831554781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 089354) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72-093628) |
| 104100000X Social Worker (Licence: NJ 44SL04689400) | |
| Enumeration Date | 2015-12-19 |
| Last Update Date | 2022-09-22 |