| NPI | 1205067337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05780100) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 23938) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2024-09-18 |