| NPI | 1427591890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SC06240100) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088884) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2024-10-31 |