| NPI | 1114286564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05745800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 085428) |
| 1041C0700X Social Worker, Clinical (Licence: OH 0700935) | |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2021-09-25 |