| NPI | 1770054488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098267-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06654200) |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2024-10-03 |