| NPI | 1104541671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06076000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 13569) |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2024-09-10 |