| NPI | 1760072755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06460100) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06539300) |
| 104100000X Social Worker (Licence: NY 108082-01) | |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School (Licence: NJ 1149040) | |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2025-03-17 |