| NPI | 1992135560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 12505) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05931800) |
| 104100000X Social Worker (Licence: SC 12505) | |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2025-05-29 |