| NPI | 1629748363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06032600) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06489200) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-10-06 |