| NPI | 1063931095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL06275300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 107670) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2022-10-25 |