| NPI | 1104449032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 095562-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06397700) |
| 1041C0700X Social Worker Clinical (Licence: NJ 44SC06006900) | |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2024-01-27 |