| NPI | 1528727294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW19187) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC06007500) |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2023-02-20 |