| NPI | 1992448310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44Sc06275900) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44Sl06646900) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2023-10-20 |