| NPI | 1265199830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06541200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904019060) |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2025-09-12 |