| NPI | 1669164141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 121708) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 137318701) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-10-20 |