| NPI | 1821355603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 23217) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05770400) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW006090) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05730600) | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2020-01-24 |