| NPI | 1659923308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 11699) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05800300) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2023-08-28 |