| NPI | 1194152165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 11464) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44sl05631900) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2022-03-22 |