| NPI | 1740645472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05872600) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 096465-1) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2020-11-25 |