| NPI | 1093135865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05607600) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05740600) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-10-17 |