| NPI | 1992350110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05987100) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44sl06392500) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2023-03-20 |