| NPI | 1932865755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06466000) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06679000) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2025-04-12 |