| NPI | 1194475822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014488) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 28998) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05354600) | |
| 104100000X Social Worker | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-09-14 |