| NPI | 1366866857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009951) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05892400) |
| 1041C0700X Social Worker, Clinical (Licence: NC P008590) | |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2016-03-08 |