| NPI | 1487410361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC06396000) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06519200) |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-10-11 |