| NPI | 1164021630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC06047000) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06410900) |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2022-01-20 |