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