| NPI | 1740521319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 110865) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SW05232300) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2024-06-04 |