| NPI | 1053903112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05976600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079636) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-03-02 |