| NPI | 1265903314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06011200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 090457) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2021-10-31 |