| NPI | 1508954512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05370900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 068896-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 075957) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-09-01 |