| NPI | 1538566153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094732) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06028500) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06265000) | |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2023-09-07 |