| NPI | 1255800066 |
|---|---|
| Former Name | ROBERTA REIS MOREIRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc06057500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 105612) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2022-03-19 |