| NPI | 1750861704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06093400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.020124) |
| 1041C0700X Social Worker, Clinical (Licence: IL 140.020124) | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2023-06-14 |