| NPI | 1790528131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06800500) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 120079-01) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |