| NPI | 1861780736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05455400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079232-1) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2022-07-21 |