| NPI | 1962011296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06266100) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2026-02-04 |