| NPI | 1679076574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11818) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06322600) |
| 104100000X Social Worker (Licence: NJ 44SC05915800) | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2022-11-03 |