| 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 |