| NPI | 1982251401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05993300) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06205800) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2023-10-03 |