| NPI | 1467431619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4139) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05900266) |
| Enumeration Date | 2006-01-14 |
| Last Update Date | 2018-04-04 |