| NPI | 1053460592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-5069) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05421700) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2025-01-13 |