| NPI | 1881629905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05783200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 071026) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2019-08-01 |