| NPI | 1053825885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05906100) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088861-01) |
| 104100000X Social Worker | |
| 104100000X Social Worker (Licence: NY 090217) | |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2024-02-01 |