| NPI | 1982123063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05987300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 17756) |
| 1041C0700X Social Worker, Clinical (Licence: NY 100651) | |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2021-04-27 |