| NPI | 1841749991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05994200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44sl06200700) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2022-01-17 |