| NPI | 1023429677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05790700) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009920152) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2021-05-25 |