| NPI | 1104472026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06469100) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: NY 110814) | |
| 104100000X Social Worker (Licence: NJ 44SL06621400) | |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2025-06-16 |