| NPI | 1568196384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06139100) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 83714) |
| 1041C0700X Social Worker, Clinical (Licence: FL 20345) | |
| Enumeration Date | 2022-07-16 |
| Last Update Date | 2022-11-13 |