| NPI | 1831974666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 30359) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06252500) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-29 |