| NPI | 1962064980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW17955) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SL05952800) |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2022-10-25 |