| NPI | 1194155853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 087370-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05785000) |
| 1041C0700X Social Worker Clinical (Licence: NJ 44SC05) | |
| Enumeration Date | 2013-11-17 |
| Last Update Date | 2025-08-12 |