| 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 |