| NPI | 1790248185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06038400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW127697) |
| 104100000X Social Worker (Licence: NJ 44SC06038400) | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2025-11-18 |