| NPI | 1871056663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086096) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05689200) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |