| NPI | 1497356828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 44SC06113100) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06178100) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2023-11-15 |