| NPI | 1962293522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW116885) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05824900) |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-05-14 |