| NPI | 1376939736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05920900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088859) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2021-04-29 |