| NPI | 1083605794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00214700) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2021-12-15 |