| NPI | 1306217336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05840400) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06127900) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2019-01-16 |