| NPI | 1801682448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 32950) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06521400) |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-09-10 |