| NPI | 1851159206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL06756000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 095967) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |