| NPI | 1417423799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06077900) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06418000) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2022-03-29 |