| NPI | 1356726269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087494) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 093556) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06034000) | |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2023-04-26 |