| NPI | 1568013258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06274200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 110985) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2024-08-22 |