| NPI | 1962836973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05872200) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 08844) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2020-03-26 |