| NPI | 1912314931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 16782) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05575100) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2022-05-09 |