| NPI | 1558836171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087467) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05992400) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2024-04-02 |