| NPI | 1811092653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR022324) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY LCSWPR0223241) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00010400) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-07-18 |