| NPI | 1700208923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC0564400) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05808000) |
| 104100000X Social Worker (Licence: NJ 44SC05644000) | |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2019-10-18 |