| NPI | 1225412240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085837-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05636700) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2020-12-04 |