| NPI | 1528496635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05863200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL04811200) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2023-05-19 |