| NPI | 1023421443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 120217) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NH 2038) |
| 1041C0700X Social Worker Clinical | |
| 1041C0700X Social Worker Clinical (Licence: NJ 44SC05713600) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2018-08-20 |