| NPI | 1881205524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06058100) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06419500) |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2022-02-01 |