| NPI | 1265869978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086102-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 089984-1) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06006500) | |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2021-09-23 |