| NPI | 1639788953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012974) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05652300) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |