| NPI | 1679239594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06308500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06261400) |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2024-05-14 |