| NPI | 1861820607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL05558000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 090260) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2021-04-13 |