| NPI | 1962541011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0011850) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06006100) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2026-03-03 |