| NPI | 1619161726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05650500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05367200) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2016-02-23 |