| NPI | 1922641224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06104400) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06238400) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2025-08-13 |