| NPI | 1497260293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05903200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06243900) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2022-01-12 |