| NPI | 1912347113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06347800) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ SW-GTL-20-01228) |
| 225700000X Massage Therapist (Licence: NJ 18KT00519200) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2024-08-30 |