| NPI | 1811314685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05836700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05672000) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2018-05-01 |