| NPI | 1124452107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 112265) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06144300) |
| 1041C0700X Social Worker, Clinical (Licence: NY 087570) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ SW20300) | |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2025-11-10 |