| NPI | 1568902559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05786700) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 085921) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2019-03-12 |