| NPI | 1194602532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 128208) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL07333000) |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |