| NPI | 1619581477 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06384800)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06581800)  | 
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05915300)  | |
| Enumeration Date | 2020-08-31 | 
| Last Update Date | 2025-08-14 |