| NPI | 1336560135 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05774200) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06016200) | 
| 104100000X Social Worker (Licence: MD 19169) | |
| Enumeration Date | 2013-12-20 | 
| Last Update Date | 2025-04-24 |