| NPI | 1609375260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 15313) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05597600) |
| 1041C0700X Social Worker, Clinical (Licence: SC 10991) | |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2022-05-04 |