| NPI | 1649868043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28304) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06365900) |
| Enumeration Date | 2021-01-02 |
| Last Update Date | 2026-08-24 |