| NPI | 1073643177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL05356600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05352000) |
| 1041C0700X Social Worker, Clinical (Licence: 44SC05352000) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2022-07-21 |