| NPI | 1184059008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05822000) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW005220) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2021-09-21 |