| NPI | 1649862939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06360600) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06459500) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2025-02-26 |