| NPI | 1639692536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06386700) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: NJ 44SL06302100) | |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2025-05-08 |