| NPI | 1104674779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL07280400) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL07280400) |
| 104100000X Social Worker (Licence: NY 128018) | |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2025-08-20 |