| NPI | 1366176901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06434800) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 11709201) |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2025-01-27 |