| NPI | 1679183164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06003600) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06179800) |
| Enumeration Date | 2020-08-09 |
| Last Update Date | 2021-12-03 |