| NPI | 1013552538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC06398100) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: NJ 44SL06671300) | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2024-10-07 |