| NPI | 1902056567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010143) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05362700) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2021-04-19 |