| NPI | 1861860033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL05999700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C014735) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2022-04-05 |