| NPI | 1578258679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC06307700) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06084400) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2024-10-31 |