| NPI | 1609410190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 44SC05783600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05783600) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-11-14 |