| NPI | 1982061735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC06109400) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR L10312) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2024-02-01 |