| NPI | 1417358581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107206) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05558400) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2023-09-06 |