| NPI | 1922461193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 20511) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05907100) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2025-10-24 |