| NPI | 1164815205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05841700) |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2020-04-14 |