| NPI | 1659709863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 14190) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05324000) |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2024-11-26 |