| NPI | 1801257969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05896000) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05666900) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2019-11-07 |