| NPI | 1467937821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05906200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06170600) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2020-08-13 |