| NPI | 1518218627 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05657100)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05781700)  | 
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2012-09-28 | 
| Last Update Date | 2022-03-02 |