| NPI | 1417173188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01289800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18839) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-11-16 |