| NPI | 1043782469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01491100) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2019-06-11 |