| NPI | 1124370622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05675500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ LSW44SL05822600) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2022-12-28 |