| NPI | 1891239562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05873400) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 095058-1) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2020-07-07 |