| NPI | 1053900639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06247500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 129639) |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2024-07-23 |