| NPI | 1952853962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05712200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05805400) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2018-08-30 |