| NPI | 1134697550 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06004000)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 14787)  | 
| 1041C0700X Social Worker, Clinical (Licence: IL 149024646)  | |
| Enumeration Date | 2018-11-03 | 
| Last Update Date | 2025-07-14 |