| NPI | 1972398576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093693) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06270400) |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |