| NPI | 1417595117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099425) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc06493600) |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2026-01-28 |