| NPI | 1013489392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27794) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06429900) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06015990) | |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2023-09-11 |