| NPI | 1972285252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 120017) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06979200) |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-04 |