| NPI | 1558816322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012728) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05673900) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2020-02-14 |