| NPI | 1265709067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 28975) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081535) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05594100) | |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2023-05-09 |