| NPI | 1023368768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 29706) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05716000) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2024-02-15 |