| NPI | 1750894259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL06059900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05773600) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2103220) | |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2022-02-28 |