| NPI | 1063871911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083687) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05903500) |
| Enumeration Date | 2016-02-21 |
| Last Update Date | 2020-03-31 |