| NPI | 1790443380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06119900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0011984) |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2024-10-29 |