| NPI | 1245794007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094609) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06213200) |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2024-02-02 |