| NPI | 1265765028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 19861) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 108664) |
| 1041C0700X Social Worker, Clinical (Licence: NY 0799141) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05431100) | |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2022-07-19 |