| NPI | 1053720102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC06134400) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA LW61405920) |
| 1041C0700X Social Worker Clinical (Licence: NY 082365-1) | |
| Enumeration Date | 2014-08-03 |
| Last Update Date | 2025-05-12 |