| NPI | 1215435565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05851600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 117760) |
| 1041C0700X Social Worker, Clinical (Licence: NY 093367-01) | |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2026-01-08 |