| NPI | 1659304137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SC004009000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00400900) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2023-10-02 |