| NPI | 1942679956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05840200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05316800) |
| Enumeration Date | 2015-09-20 |
| Last Update Date | 2019-02-13 |