| NPI | 1376289413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093351) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06587800) |
| 1041C0700X Social Worker, Clinical (Licence: NJ NJDCATEMP-049908) | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2024-07-02 |