| NPI | 1205251881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05686500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 088874) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2021-12-21 |