| NPI | 1679051007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05942400) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06397500) |
| Enumeration Date | 2018-07-28 |
| Last Update Date | 2022-04-27 |