| NPI | 1912155342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05589800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078199) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2020-05-27 |