| NPI | 1609235498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05537200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904010091) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2019-09-16 |