| NPI | 1770083701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05740800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44C05740800) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |