| NPI | 1407248834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 074633) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05191900) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2022-03-15 |