| NPI | 1295106235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084126) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 083942) |
| 104100000X Social Worker (Licence: NJ 44SL05712200) | |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2016-05-06 |