| NPI | 1184091365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017282) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05727500) |
| 104100000X Social Worker (Licence: NC P014784) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06424000) | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2025-01-07 |