| NPI | 1831505114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05890200) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: NJ 919482) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2020-04-28 |