| NPI | 1568819621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05700600) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SLO5793600) |
| 1041S0200X Social Worker, School (Licence: NJ 856988) | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-10-20 |