| NPI | 1770027666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05800400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06076500) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2023-08-28 |