| NPI | 1083123392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06114300) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06300000) |
| 104100000X Social Worker (Licence: CO LSW.0009922172) | |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2023-11-06 |