| NPI | 1942740477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05774700) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05603300) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2020-12-23 |