| NPI | 1366865958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DE Q1-0001701) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05525200) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2023-03-24 |