| NPI | 1245608322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095819) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05860500) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2025-11-26 |