| NPI | 1841540507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05213200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041S0200X Social Worker, School (Licence: NJ 44sc05213200) | |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2020-07-17 |