| NPI | 1851654016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04607700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14674100) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |