| NPI | 1710258769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083414) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SC05694900) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2021-04-14 |