| NPI | 1073368783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P020429) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06985900) |
| 1041S0200X Social Worker, School (Licence: NJ 01739993) | |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |