| NPI | 1316318173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SCO5661800) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05878700) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2019-10-04 |