| NPI | 1952817322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097854) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06147700) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2024-08-28 |