| NPI | 1558988394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05999800) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA CSW006951) |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2025-04-28 |