| NPI | 1831491638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05528500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05652800) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2019-06-03 |