| NPI | 1861829202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05799900) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05923600) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2019-01-28 |