| NPI | 1477011005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017713) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06238900) |
| Enumeration Date | 2019-03-02 |
| Last Update Date | 2025-08-28 |