| NPI | 1992224067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 091778-1) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05816500) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2019-01-14 |