| NPI | 1619416716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05922000) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 18684) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2023-11-03 |