| NPI | 1972273753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL06622500) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 100411) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2025-07-01 |